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JCTA5221 ENTERPRISES, LLC
NPI 1518773779
Clinic/Center - Adolescent and Children Mental Health in Myrtle Beach, SC

Active since December 03, 2024
6105 N KINGS HWY, MYRTLE BEACH, SC 29577(570) 468-5683 Get Directions Write a Review

NPPES record last updated: August 23, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: May 15, 2025, Dec 3, 2024 (2 updates tracked since 2024).

About Jcta5221 Enterprises, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JCTA5221 ENTERPRISES, LLC (NPI 1518773779) is a healthcare organization registered as an adolescent and children mental health in Myrtle Beach, South Carolina and active in the NPI registry since December 2024. The organization lists Jeremy C. Pichany, Chief Officer, as its authorized official.

NPPES Registry Identity

NPI1518773779
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameJCTA5221 ENTERPRISES, LLC
Location Address6105 N KINGS HWYMyrtle Beach, SC 29577-2372
Mailing Address276 Palm Cove CirMyrtle Beach, SC 29588-1405 · (570) 468-5683
Phone(570) 468-5683
Organization SubpartNo
Authorized OfficialJeremy C. PichanyChief Officer · (570) 468-5683
Enumeration DateDecember 3, 2024
Last NPPES UpdateAugust 23, 20252 updates tracked since enumeration
NPPES CertifiedAugust 23, 2025
✔ NPI 1518773779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
6105 N KINGS HWY, Myrtle Beach, SC 29577
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BEACH PHARMACIST INC
Pharmacist
6105 N KINGS HWY
MYRTLE BEACH, SC 29577
Horry County (843) 449-3325
BEACH PHARMACIST INC
Durable Medical Equipment & Medical Supplies
6105 N KINGS HWY
MYRTLE BEACH, SC 29577
Horry County (843) 497-0111
MR. JON CRAIG HOWELL RPH
Pharmacist
6105 N KINGS HWY
MYRTLE BEACH, SC 29577
Horry County (843) 213-3218

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jcta5221 Enterprises, LLC's NPI number?

The NPI number for Jcta5221 Enterprises, LLC is 1518773779. It was assigned to this organization in the NPPES registry on December 3, 2024.

Where is Jcta5221 Enterprises, LLC located?

Jcta5221 Enterprises, LLC is located at 6105 N Kings Hwy, Myrtle Beach, SC 29577. The listed phone number is (570) 468-5683.

What is Jcta5221 Enterprises, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Jcta5221 Enterprises, LLC was last updated on August 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.